Provider Demographics
NPI:1386418655
Name:OYSTER HEALTHCARE
Entity type:Organization
Organization Name:OYSTER HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-240-2850
Mailing Address - Street 1:1219 LIBERTY AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-2040
Mailing Address - Country:US
Mailing Address - Phone:201-240-2850
Mailing Address - Fax:
Practice Address - Street 1:1219 LIBERTY AVE STE 108
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-2040
Practice Address - Country:US
Practice Address - Phone:201-240-2850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health